Provider Demographics
NPI:1346412186
Name:DR. RAMON BORRERO DENTAL OFFICE,PSC
Entity type:Organization
Organization Name:DR. RAMON BORRERO DENTAL OFFICE,PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:BORRERO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-856-1095
Mailing Address - Street 1:9 STREET URB. EL ROSARIO
Mailing Address - Street 2:NUM.105
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698
Mailing Address - Country:US
Mailing Address - Phone:787-856-1095
Mailing Address - Fax:787-689-1096
Practice Address - Street 1:54 CALLE MATTEI LLUBERAS
Practice Address - Street 2:
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-3633
Practice Address - Country:US
Practice Address - Phone:787-856-1095
Practice Address - Fax:787-689-1096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0019261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty